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RGV FAMILY DENTISTRY BY LUZ E MARTINEZ DDS PLLC
RGV FAMILY DENTISTRY BY LUZ E MARTINEZ DDS PLLC
NPI: 1811235609
· WESLACO, TX 78596
· General Practice Dentistry
· NPI assigned 01/29/2013
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, LUZ (OWNER / DENTIST) |
| NPI Enumeration Date | 01/29/2013 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, LUZ
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
137 |
$3K |
| 2021 |
1,817 |
$42K |
| 2022 |
2,065 |
$48K |
| 2023 |
1,927 |
$45K |
| 2024 |
1,507 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,492 |
1,444 |
$40K |
| D1110 |
Prophylaxis - adult |
772 |
750 |
$40K |
| D1120 |
Prophylaxis - child |
714 |
700 |
$25K |
| D0274 |
Bitewings - four radiographic images |
753 |
726 |
$25K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,541 |
1,511 |
$22K |
| D0272 |
Bitewings - two radiographic images |
612 |
603 |
$14K |
| D0330 |
Panoramic radiographic image |
120 |
120 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
24 |
24 |
$3K |
| D0603 |
|
1,354 |
1,334 |
$0.00 |
| D0602 |
|
55 |
55 |
$0.00 |
| D0601 |
|
16 |
15 |
$0.00 |